Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide
Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arter...
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Radcliffe Medical Media
2020
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oai:doaj.org-article:925fde46350d4bad952e67c1b67e2df12021-12-04T16:03:09ZEmerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide10.15420/icr.2019.221756-14851756-1477https://doaj.org/article/925fde46350d4bad952e67c1b67e2df12020-06-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2019.22https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arterial disease, obesity or for prolonged haemodynamic support where patient mobilisation may be valuable. In particular, axillary access for mechanical circulatory support allows for increased mobility while using the device, facilitating physical therapy and reducing morbidity associated with prolonged bed rest. This article outlines the basic approach to percutaneous axillary vascular access, including patient selection and procedure planning, anatomic axillary artery landmarks, access techniques, sheath removal and management of complications.Kathryn DawsonTara L JonesKathleen E KearneyJames M McCabeRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 15, Iss , Pp - (2020) |
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Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Kathryn Dawson Tara L Jones Kathleen E Kearney James M McCabe Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide |
description |
Advances in transcatheter structural heart interventions and temporary mechanical circulatory support have led to increased demand for alternative sites for large-bore vascular access. Percutaneous axillary artery access is an appealing alternative to femoral access in patients with peripheral arterial disease, obesity or for prolonged haemodynamic support where patient mobilisation may be valuable. In particular, axillary access for mechanical circulatory support allows for increased mobility while using the device, facilitating physical therapy and reducing morbidity associated with prolonged bed rest. This article outlines the basic approach to percutaneous axillary vascular access, including patient selection and procedure planning, anatomic axillary artery landmarks, access techniques, sheath removal and management of complications. |
format |
article |
author |
Kathryn Dawson Tara L Jones Kathleen E Kearney James M McCabe |
author_facet |
Kathryn Dawson Tara L Jones Kathleen E Kearney James M McCabe |
author_sort |
Kathryn Dawson |
title |
Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide |
title_short |
Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide |
title_full |
Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide |
title_fullStr |
Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide |
title_full_unstemmed |
Emerging Role of Large-bore Percutaneous Axillary Vascular Access: a Step-by-step Guide |
title_sort |
emerging role of large-bore percutaneous axillary vascular access: a step-by-step guide |
publisher |
Radcliffe Medical Media |
publishDate |
2020 |
url |
https://doaj.org/article/925fde46350d4bad952e67c1b67e2df1 |
work_keys_str_mv |
AT kathryndawson emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide AT taraljones emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide AT kathleenekearney emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide AT jamesmmccabe emergingroleoflargeborepercutaneousaxillaryvascularaccessastepbystepguide |
_version_ |
1718372749870628864 |